PROFESSIONAL DENTAL ALLIANCE OF COUNTRY WALK, PLLC
NPI 1922655950
Dentist - General Practice in Miami, FL

Q: What is Professional Dental Alliance Of Country Walk, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since August 23, 2019

15795 SW 152ND ST, MIAMI, FL 33187(305) 547-8390 Get Directions Write a Review

NPPES record last updated: August 23, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Professional Dental Alliance Of Country Walk, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROFESSIONAL DENTAL ALLIANCE OF COUNTRY WALK, PLLC (NPI 1922655950) is a healthcare organization registered as a general practice in Miami, Florida and active in the NPI registry since August 2019. The organization lists Lauren Howard, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1922655950

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NamePROFESSIONAL DENTAL ALLIANCE OF COUNTRY WALK, PLLC

Location Address15795 SW 152ND STMiami, FL 33187-5417

Mailing Address11 S Mill St Ste 200New Castle, PA 16101-3680

Phone(305) 547-8390

Organization SubpartNo

Authorized OfficialLauren HowardCredentialing · (757) 576-5479

Enumeration DateAugust 23, 2019

✔ NPI 1922655950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

15795 SW 152ND ST, Miami, FL 33187

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLAS MEJIO DMD

Dentist (General Practice)

15795 SW 152ND ST
MIAMI, FL 33187

Miami-Dade County (305) 547-8390

DR. BERNARDO ASSUMPCAO CALDAS DMD

Dentist (Orthodontics and Dentofacial Orthopedics)

15795 SW 152ND ST
MIAMI, FL 33187

Miami-Dade County (305) 547-8390

PROFESSIONAL DENTAL ALLIANCE OF COUNTRY WALK ORTHO, PLLC

Dentist (Orthodontics and Dentofacial Orthopedics)

15795 SW 152ND ST
MIAMI, FL 33187

Miami-Dade County (305) 547-8390

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Professional Dental Alliance Of Country Walk, PLLC's NPI number?

The NPI number for Professional Dental Alliance Of Country Walk, PLLC is 1922655950. It was assigned to this organization in the NPPES registry on August 23, 2019.

Where is Professional Dental Alliance Of Country Walk, PLLC located?

Professional Dental Alliance Of Country Walk, PLLC is located at 15795 SW 152nd St, Miami, FL 33187. The listed phone number is (305) 547-8390.

What is Professional Dental Alliance Of Country Walk, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Professional Dental Alliance Of Country Walk, PLLC was last updated on August 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.